Individual
JOHANNA O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
72 E SUNSET WAY, ISSAQUAH, WA 98027-3813
(425) 313-9222
Mailing address
145 NEWPORT WAY NW APT B204, ISSAQUAH, WA 98027-3142
(425) 369-4838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60415304
WA
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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